| Ahn Observation Group Llc | |
|
565 Coal Valley Rd Jefferson Hills PA 15025-3703 | |
| (844) 474-4019 | |
| Not Available |
| Full Name | Ahn Observation Group Llc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 565 Coal Valley Rd, Jefferson Hills, Pennsylvania |
| Authorized Official Name and Position | Dominic Bagnoli Jr (EXECUTIVE CHAIRMAN) |
| Authorized Official Contact | 3309944409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahn Observation Group Llc 4535 Dressler Rd Nw Canton OH 44718-2545 Ph: (844) 474-4019 | Ahn Observation Group Llc 565 Coal Valley Rd Jefferson Hills PA 15025-3703 Ph: (844) 474-4019 |
| NPI Number | 1437814696 |
|---|---|
| Provider Enumeration Date | 11/03/2021 |
| Last Update Date | 02/19/2024 |
| Medicare PECOS PAC ID | 1557753811 |
|---|---|
| Medicare Enrollment ID | O20220118001466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437814696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | Matthew T Mccarthy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891774584 PECOS PAC ID: 5395644819 Enrollment ID: I20040105000264 |
| Provider Name | Daniel T Myers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922084367 PECOS PAC ID: 7012816424 Enrollment ID: I20040105000836 |
| Provider Name | Thomas R White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518928340 PECOS PAC ID: 2961301817 Enrollment ID: I20040108000754 |
| Provider Name | Brett R Forehand |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518942192 PECOS PAC ID: 1850291774 Enrollment ID: I20040108001109 |
| Provider Name | Frederick C Havko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841275872 PECOS PAC ID: 2769382522 Enrollment ID: I20040109000516 |
| Provider Name | Ruth E Perez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235129990 PECOS PAC ID: 9739171885 Enrollment ID: I20040406000436 |
| Provider Name | William Paul Greissinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194700641 PECOS PAC ID: 7315918620 Enrollment ID: I20040802000907 |
| Provider Name | Joseph Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235198391 PECOS PAC ID: 4688646656 Enrollment ID: I20040810000916 |
| Provider Name | Jill M Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033223631 PECOS PAC ID: 6103893631 Enrollment ID: I20040914001046 |
| Provider Name | Jason Christopher Ball |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437133022 PECOS PAC ID: 7214919430 Enrollment ID: I20041012001194 |
| Provider Name | Kip Dean Jenifer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083649156 PECOS PAC ID: 9830130012 Enrollment ID: I20050518000377 |
| Provider Name | Lori Lee A Siemon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235154923 PECOS PAC ID: 5193766137 Enrollment ID: I20050519000475 |
| Provider Name | David F Sarknas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114964137 PECOS PAC ID: 9830198779 Enrollment ID: I20061204000323 |
| Provider Name | Ferdinando Mirarchi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154320364 PECOS PAC ID: 6507963121 Enrollment ID: I20070516000282 |
| Provider Name | Melody L Milliron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699978817 PECOS PAC ID: 0143314039 Enrollment ID: I20070924000004 |
| Provider Name | Chadd E Nesbit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053595728 PECOS PAC ID: 6305926817 Enrollment ID: I20080109000265 |
| Provider Name | Jason K Wong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629261755 PECOS PAC ID: 8022198530 Enrollment ID: I20080109000275 |
| Provider Name | Bruce A Macleod |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831185032 PECOS PAC ID: 2365434552 Enrollment ID: I20080724000614 |
| Provider Name | Angela J Mcdermott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073772125 PECOS PAC ID: 6507930153 Enrollment ID: I20080731000196 |
| Provider Name | Judith M Knoll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861491862 PECOS PAC ID: 2961469820 Enrollment ID: I20080820000197 |
| Provider Name | Anthony Dalessio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588631931 PECOS PAC ID: 0042387888 Enrollment ID: I20080922000115 |
| Provider Name | Justin Curtis Dosch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932376696 PECOS PAC ID: 1254499627 Enrollment ID: I20081029000513 |
| Provider Name | Kathleen M Latouf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184897894 PECOS PAC ID: 0143384255 Enrollment ID: I20090203000685 |
| Provider Name | David D Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649438789 PECOS PAC ID: 3870644610 Enrollment ID: I20090708000007 |
| Provider Name | John D Sangl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669662219 PECOS PAC ID: 7416094214 Enrollment ID: I20091028000064 |
| Provider Name | Jestin N Carlson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164615175 PECOS PAC ID: 8123169083 Enrollment ID: I20100114000220 |
| Provider Name | Caroline A Colleran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033376553 PECOS PAC ID: 1254455306 Enrollment ID: I20100826000864 |
| Provider Name | Rani K Kumar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548210420 PECOS PAC ID: 5092747733 Enrollment ID: I20100928001449 |
| Provider Name | Michael J Dicaprio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821161894 PECOS PAC ID: 1355536798 Enrollment ID: I20101111000828 |
| Provider Name | Richard P Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831114545 PECOS PAC ID: 7214117555 Enrollment ID: I20110203000823 |
| Provider Name | Cynthia L Dahlkemper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023277118 PECOS PAC ID: 1658556923 Enrollment ID: I20110502000131 |
| Provider Name | Shawn M Simko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043511165 PECOS PAC ID: 8123204088 Enrollment ID: I20110701000312 |
| Provider Name | Jennifer M Hickey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629302807 PECOS PAC ID: 4284804162 Enrollment ID: I20110901000262 |
| Provider Name | Robert J Sobehart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275505976 PECOS PAC ID: 9234290594 Enrollment ID: I20110913000288 |
| Provider Name | Mollie M Lauck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952683765 PECOS PAC ID: 5496929697 Enrollment ID: I20111128000790 |
| Provider Name | Kerri L Friend |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669634382 PECOS PAC ID: 5991969974 Enrollment ID: I20120605000195 |
| Provider Name | Sarah M Menz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720265143 PECOS PAC ID: 4789840737 Enrollment ID: I20120719000515 |
| Provider Name | Belinda L Sapanara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174813166 PECOS PAC ID: 6608011796 Enrollment ID: I20130320000257 |
| Provider Name | Deylin I Negron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740513845 PECOS PAC ID: 3375783806 Enrollment ID: I20130705000460 |
| Provider Name | Katherine Lund |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477780104 PECOS PAC ID: 0143463257 Enrollment ID: I20130821000215 |
| Provider Name | Najeeb Taki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114157393 PECOS PAC ID: 5991920902 Enrollment ID: I20140708001107 |
| Provider Name | Charles J Feronti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568612620 PECOS PAC ID: 9234376872 Enrollment ID: I20140804000800 |
| Provider Name | Jacob W Kleinman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972866242 PECOS PAC ID: 1951521475 Enrollment ID: I20141006001215 |
| Provider Name | Angela L Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013318765 PECOS PAC ID: 5698995751 Enrollment ID: I20141013002211 |
| Provider Name | Tara L Goossen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033528500 PECOS PAC ID: 7911229257 Enrollment ID: I20141124000497 |
| Provider Name | Gina C Belvedere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801299144 PECOS PAC ID: 7315269677 Enrollment ID: I20141124001096 |
| Provider Name | Richard Andrew Rowland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356606453 PECOS PAC ID: 6709108889 Enrollment ID: I20141126000943 |
| Provider Name | Jennifer M Hinds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962766089 PECOS PAC ID: 0648592600 Enrollment ID: I20141202000049 |
| Provider Name | Scott A Ducharme |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174836019 PECOS PAC ID: 2163473760 Enrollment ID: I20150327000322 |
| Provider Name | Irina Pritchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144619909 PECOS PAC ID: 5294054821 Enrollment ID: I20150504001814 |
| Provider Name | Kristi Michelle Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528474590 PECOS PAC ID: 1850611377 Enrollment ID: I20150526000751 |
| Provider Name | Brandon Kramer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871938498 PECOS PAC ID: 8729121066 Enrollment ID: I20150824001968 |
| Provider Name | Steven Davis Perry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588008791 PECOS PAC ID: 3375832686 Enrollment ID: I20160510000447 |
| Provider Name | Katherine M Colpitts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235573445 PECOS PAC ID: 0648560409 Enrollment ID: I20160607000725 |
| Provider Name | Justin F Blaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699113852 PECOS PAC ID: 2961798830 Enrollment ID: I20160901002372 |
| Provider Name | Cristina S Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366895518 PECOS PAC ID: 2466733563 Enrollment ID: I20170104000741 |
| Provider Name | Gregory T Shank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558812917 PECOS PAC ID: 1355623083 Enrollment ID: I20170112002791 |
| Provider Name | Olutoyin Ekundayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053862292 PECOS PAC ID: 6406131762 Enrollment ID: I20170329000386 |
| Provider Name | Margaret A Zaliponi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851843379 PECOS PAC ID: 6709163959 Enrollment ID: I20170426001117 |
| Provider Name | Allison Weed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972048551 PECOS PAC ID: 4981987922 Enrollment ID: I20170504000633 |
| Provider Name | Leslie A Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295286524 PECOS PAC ID: 5395019574 Enrollment ID: I20170927001734 |
| Provider Name | David J Connell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093238149 PECOS PAC ID: 6901163807 Enrollment ID: I20171201000410 |
| Provider Name | Dhimitri A. Nikolla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366839995 PECOS PAC ID: 0840588133 Enrollment ID: I20171212000956 |
| Provider Name | Brandi Roxanne Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629587159 PECOS PAC ID: 7416215736 Enrollment ID: I20171214001804 |
| Provider Name | Samantha Lee-nolan Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194239913 PECOS PAC ID: 1456610120 Enrollment ID: I20180126000057 |
| Provider Name | Matthew P Stripp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477895514 PECOS PAC ID: 7012208168 Enrollment ID: I20180504000150 |
| Provider Name | Kaitlyn K Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043623259 PECOS PAC ID: 8729378393 Enrollment ID: I20180525000437 |
| Provider Name | John P Flaherty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952715633 PECOS PAC ID: 4183911357 Enrollment ID: I20180608001233 |
| Provider Name | David William Abt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245678622 PECOS PAC ID: 5698058931 Enrollment ID: I20180628000905 |
| Provider Name | Lauren A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669914818 PECOS PAC ID: 2961753934 Enrollment ID: I20181002000298 |
| Provider Name | Christopher W Morris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528417151 PECOS PAC ID: 7719275510 Enrollment ID: I20190617001757 |
| Provider Name | Josephine Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932747540 PECOS PAC ID: 5092140525 Enrollment ID: I20200110001138 |
| Provider Name | Shannon Riccobelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144866534 PECOS PAC ID: 8325475320 Enrollment ID: I20200304001942 |
| Provider Name | Girish B Kapur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386705937 PECOS PAC ID: 5597729319 Enrollment ID: I20200309001272 |
| Provider Name | Jennifer B Schaaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396116091 PECOS PAC ID: 3779883616 Enrollment ID: I20200423000139 |
| Provider Name | Amy Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326686882 PECOS PAC ID: 2264853860 Enrollment ID: I20200608001956 |
| Provider Name | Bradley E Loiben |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285016519 PECOS PAC ID: 0244539021 Enrollment ID: I20200716003042 |
| Provider Name | Michelle K Peifly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285165324 PECOS PAC ID: 5395013130 Enrollment ID: I20200729001828 |
| Provider Name | Jason E Goldwasser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982132379 PECOS PAC ID: 6507281037 Enrollment ID: I20200731000398 |
| Provider Name | Tessa Hayes Chopra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134112741 PECOS PAC ID: 7113264698 Enrollment ID: I20201001000104 |
| Provider Name | Hilary C Clinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629610654 PECOS PAC ID: 6406281591 Enrollment ID: I20201012000135 |
| Provider Name | Ian D Brasted |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124516869 PECOS PAC ID: 2567718539 Enrollment ID: I20201029000795 |
| Provider Name | Joseph A Stefanski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225550197 PECOS PAC ID: 1355751454 Enrollment ID: I20201030001372 |
| Provider Name | Irtaza Asar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508357716 PECOS PAC ID: 4688095151 Enrollment ID: I20210428000028 |
| Provider Name | Amanda Marie Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427643485 PECOS PAC ID: 1951710938 Enrollment ID: I20210503002607 |
| Provider Name | Lindsay A Shankman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942792668 PECOS PAC ID: 2567871510 Enrollment ID: I20210504002590 |
| Provider Name | Matthew F Mccaffery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891286886 PECOS PAC ID: 7214337211 Enrollment ID: I20210614000581 |
| Provider Name | George Magnone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316470727 PECOS PAC ID: 0042589723 Enrollment ID: I20210728002367 |
| Provider Name | Thomas E Erickson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114453248 PECOS PAC ID: 6204193253 Enrollment ID: I20210804003329 |
| Provider Name | William A Johnjulio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558868059 PECOS PAC ID: 5496093148 Enrollment ID: I20210804004123 |
| Provider Name | Vincent S Ceretto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003262999 PECOS PAC ID: 4981957784 Enrollment ID: I20210806000770 |
| Provider Name | Daniel C Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275020224 PECOS PAC ID: 0648527168 Enrollment ID: I20210819003916 |
| Provider Name | Zachary Edward Hadfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407428386 PECOS PAC ID: 7315345725 Enrollment ID: I20211014001566 |
| Provider Name | Jennifer Ahn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891257770 PECOS PAC ID: 7416290259 Enrollment ID: I20211117001137 |
| Provider Name | Thomas Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942964986 PECOS PAC ID: 7911399282 Enrollment ID: I20220118001480 |
| Provider Name | Camille Halfman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982090163 PECOS PAC ID: 0244584589 Enrollment ID: I20220201002936 |
| Provider Name | Manisha Upadhaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750033809 PECOS PAC ID: 6709263403 Enrollment ID: I20220518003064 |
| Provider Name | Kailey Rose Ziemianski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386266872 PECOS PAC ID: 4789007667 Enrollment ID: I20220524002221 |
| Provider Name | Rebecca S Greenstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528529351 PECOS PAC ID: 9830427665 Enrollment ID: I20220620002038 |
| Provider Name | Briana Leigh Antalek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922615046 PECOS PAC ID: 5698155448 Enrollment ID: I20220711001564 |
| Provider Name | John J Warner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043772866 PECOS PAC ID: 3274914726 Enrollment ID: I20220715000718 |
| Provider Name | Benjamin R Parva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245793751 PECOS PAC ID: 7810229887 Enrollment ID: I20220826000239 |
| Provider Name | Cynthia Martone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740931153 PECOS PAC ID: 3678958055 Enrollment ID: I20220921001910 |
| Provider Name | Marlaina Eldred |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316671886 PECOS PAC ID: 6406223320 Enrollment ID: I20221107001921 |
| Provider Name | Valerie M Sadlowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255048997 PECOS PAC ID: 7517336209 Enrollment ID: I20221220002197 |
| Provider Name | Le Mimi Kern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720795628 PECOS PAC ID: 7416321195 Enrollment ID: I20230320002375 |
| Provider Name | Kay Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790167856 PECOS PAC ID: 3779892419 Enrollment ID: I20230403002011 |
| Provider Name | Courtney Killmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326753690 PECOS PAC ID: 5193181956 Enrollment ID: I20230519002754 |
| Provider Name | Melissa Doughty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346912433 PECOS PAC ID: 8224429790 Enrollment ID: I20230523002109 |
| Provider Name | Emily Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568167906 PECOS PAC ID: 1052778610 Enrollment ID: I20230613002250 |
| Provider Name | Sarah Catherine Myers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801417332 PECOS PAC ID: 4385003201 Enrollment ID: I20230717000565 |
| Provider Name | Kenneth C Agnew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013657295 PECOS PAC ID: 1557721727 Enrollment ID: I20230719002541 |
| Provider Name | Maria M Russ |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437611068 PECOS PAC ID: 0941537773 Enrollment ID: I20230828003446 |
| Provider Name | Joseph S Rauscher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154882629 PECOS PAC ID: 5597148965 Enrollment ID: I20230831004098 |
| Provider Name | Nikitas Maglis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639706690 PECOS PAC ID: 0547682528 Enrollment ID: I20230905001704 |
| Provider Name | Emily Jean Walsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912535824 PECOS PAC ID: 6406278571 Enrollment ID: I20231027002453 |
| Provider Name | Anthony T Battista |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952977316 PECOS PAC ID: 4486018777 Enrollment ID: I20231121002087 |
| Provider Name | Nicholas J Stiles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437770286 PECOS PAC ID: 7517381056 Enrollment ID: I20240510002327 |
| Provider Name | Rachel Grider Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578133682 PECOS PAC ID: 3678926243 Enrollment ID: I20240516000548 |
| Provider Name | Eric J Schmieler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932569498 PECOS PAC ID: 8628362472 Enrollment ID: I20240626001438 |
| Provider Name | Michal L Hammond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790307718 PECOS PAC ID: 4385068832 Enrollment ID: I20240627001120 |
| Provider Name | Meg Riley Stiles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336762434 PECOS PAC ID: 8022432574 Enrollment ID: I20240627001854 |
| Provider Name | Cally Colleen Wollet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518533736 PECOS PAC ID: 6901247709 Enrollment ID: I20240717003391 |
| Provider Name | Jillian Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295565687 PECOS PAC ID: 6305370719 Enrollment ID: I20241107002728 |
| Provider Name | Susannah C. Boulet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811519697 PECOS PAC ID: 9830555713 Enrollment ID: I20241108000719 |
| Provider Name | Amberlyn Pucel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013744853 PECOS PAC ID: 1759819337 Enrollment ID: I20250109003290 |
Jrmc Specialty Group Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 565 Coal Valley Rd, Jefferson Hills, PA 15025 Phone: 412-469-7932 Fax: 412-469-5493 | |
Primary Care Group 8, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Coal Valley Rd Ste 503, Jefferson Hills, PA 15025 Phone: 412-267-6263 Fax: 412-267-6264 | |
Primary Care Group # 6 Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 575 Coal Valley Rd, Suite 502, Jefferson Hills, PA 15025 Phone: 412-267-6307 Fax: 412-267-6209 | |
Dr Edward Jew Iii Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 575 Coal Valley Rd Ste 502, Jefferson Hills, PA 15025 Phone: 412-267-6307 Fax: 412-267-6309 | |
Steel Center For Career And Technical Education Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 565 N Lewis Run Rd, Jefferson Hills, PA 15025 Phone: 412-469-3200 | |
Family Practice Medical Associate South Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 Brooks Ln, Suite 290, Jefferson Hills, PA 15025 Phone: 412-729-1500 Fax: 412-384-2462 |